Active NPI
Gerda Monika Thalheimer, DDS
- Dentist
- Saint Louis, MO
National Provider Identifier
1265576904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 14124
- Practice address
- 11627 Gravois Rd
St Louis, MO 63126 - Phone
- (314) 843-4412
- Fax
- (314) 843-9850
- NPI assigned
- Feb 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 14124 | MO | Primary |
Addresses
Primary practice location
11627 Gravois Rd
St Louis, MO 63126
Mailing address
11627 Gravois Rd
St Louis, MO 63126
Phone (314) 843-4412
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14124 | MO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362528000000",
"number": "1265576904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11627 GRAVOIS RD",
"city": "ST LOUIS",
"state": "MO",
"postal_code": "63126",
"telephone_number": "314-843-4412",
"fax_number": "314-843-9850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11627 GRAVOIS RD",
"city": "ST LOUIS",
"state": "MO",
"postal_code": "63126",
"telephone_number": "314-843-4412",
"fax_number": "314-843-9850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THALHEIMER",
"first_name": "GERDA",
"middle_name": "MONIKA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-16",
"last_updated": "2013-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "14124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.